Professional Records
License Records
Elise M Populin
Address:
197 SW Woodgate Ter, Lake City, FL
368 NE Franklin St, Lake City, FL
Phone:
(386) 984-7387
License #:
98853 - Active
Category:
Health Care
Issued Date:
Jul 28, 2004
Effective Date:
Jan 26, 2009
Expiration Date:
May 31, 2018
Type:
Certified Nursing Assistant